Healthcare Provider Details

I. General information

NPI: 1295523173
Provider Name (Legal Business Name): STAR ELEVATOR INSPECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 5TH AVE
AURORA IL
60505
US

IV. Provider business mailing address

2563 7TH AVE AVE E
NORTH ST. PAUL MN
55109
US

V. Phone/Fax

Practice location:
  • Phone: 331-800-8387
  • Fax:
Mailing address:
  • Phone: 651-758-5438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: RYAN ROBERT ALVAREZ
Title or Position: OWNER/CEO
Credential:
Phone: 651-488-7926